Healthcare Provider Details

I. General information

NPI: 1972008050
Provider Name (Legal Business Name): AHMED AL ANI
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: AHMED AL-ANI

II. Dates (important events)

Enumeration Date: 03/29/2018
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7502 STATE RD STE 3310
CINCINNATI OH
45255-2800
US

IV. Provider business mailing address

7502 STATE RD
CINCINNATI OH
45255-2596
US

V. Phone/Fax

Practice location:
  • Phone: 513-233-6480
  • Fax: 513-233-6481
Mailing address:
  • Phone: 513-233-6480
  • Fax: 513-233-6481

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number35.140721
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License NumberU9807
License Number StateTX
# 3
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License NumberBP10074400
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: